Abstract.
Congenital midgut malrotation, a rare anatomic anomaly that can lead to duodenal or small bowel obstruction, rarely is recognized beyond the first year of life. We report a case of unrecognized congenital midgut malrotation that resulted in midgut volvulus, causing intestinal obstruction and requiring emergent reoperation after laparoscopic cholecystectomy. This unusual complication, first reported in 1994, involved a 56-year-old man and resulted in cecal infarction recognized and treated on the second postoperative day. This second case describes a less acute postoperative course, with multiple bouts of partial bowel obstruction leading to two readmissions and finally resulting in a reexploration and definitive treatment on the 19th postoperative day.
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Received: 16 February 1999/Accepted: 22 March 1999
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Vricella, L., Barrett, W. & Tannebaum, I. Intestinal obstruction from midgut volvulus after laparoscopic cholecystectomy . Surg Endosc 13, 1234–1235 (1999). https://doi.org/10.1007/PL00009628
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DOI: https://doi.org/10.1007/PL00009628